Individual provider Active NPI

Anita Ann Frykberg, MS, L.AC.

  • Acupuncturist
  • Auburn, CA
National Provider Identifier
1407620313
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19460 Issued in CA
Practice address
1010 Racquet Club Dr Ste 105
Auburn, CA 95603-3060
Phone
(530) 888-0842
NPI assigned
Nov 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19460 CA Primary

Addresses

Primary practice location

1010 Racquet Club Dr Ste 105
Auburn, CA 95603-3060

Mailing address

5685 Fawnridge Rd
Auburn, CA 95602-9246
Phone (707) 360-8265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19460CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Health Center Acupuncturist CurrentSince Nov 12, 2023 Accepting new patients

Locations

1010 Racquet Club Dr
Ste 105
Auburn, CA 95603
Phone (530) 888-0842

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1407620313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 FAWNRIDGE RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956029246",
            "telephone_number": "707-360-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 RACQUET CLUB DR STE 105",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033060",
            "telephone_number": "530-888-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYKBERG",
        "first_name": "ANITA",
        "middle_name": "ANN",
        "credential": "MS, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.